Performance Bonus System of Visiting Staff in a Medical Center in Taipei
Date Issued
2006
Date
2006
Author(s)
DOI
zh-TW
Abstract
This retrospective study aimed to analyze how the visiting staff performance bonus system implemented since July, 1996 affect the hospital under study from various perspectives including service, teaching and research. The principles of the performance bonus system are: 1. there is no deficit in the fiscal year. 2. total bonus is calculated from 15% of monthly revenue (drugs and materials excluded). The amount of bonus depends on doctor’s individual medical service procedures, such as out patient service, inpatient service, emergency service and operation…..etc. In average, the bonus amounts to 30%-40% of a visiting staff’s total salary.
The rate of resignation of the visiting staff did not differ much after the new system. However, the doctor’s productivity, the hospital revenue and financial benefit improved, at a slightly higher rate than peer hospitals. The quality of medical care kept going well. The average teaching load decreased. It could be ascribed to the fact that the number of visiting staff had increased. On the other hand, the number of publication in the Science Citation Index journals increased significantly after the implementation of the system. Research efforts were not adversely affected by the increased service.
The doctor’s total salary in the studied hospital increased a lot after the bonus added, diminishing the perception of inequity of visiting staff compared with other hospitals and accordingly stabilizing their turnover rate. Performance-based bonus system provides not only motivation for the doctors, but also guidelines for the management to implement objectives from an institutional perspective. Relatively less extrinsic reward in the studied hospital is positive for the internal motivation of the employees. Inspecting and revising the bonus system periodically is necessary, particularly in the face of dramatic evolution of the national health insurance and in a new era of performance development for the employees.
Subjects
主治醫師
績效獎金
醫學中心
薪資制度
激勵理論
visiting staff
performance bonus
medical center
salary system
motivation theory
Type
other
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